BUCK JACK LLC
NPI: 1386239861
· COLORADO SPRINGS, CO 80906
· Physical Therapist
· NPI assigned 03/05/2021
$128K
Total Medicaid Paid
Provider Details
| Authorized Official | DENN, TANNER (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 03/05/2021 |
Related Entities
Other providers sharing the same authorized official: DENN, TANNER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
441 |
$88K |
| 2023 |
196 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
491 |
57 |
$108K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
146 |
41 |
$20K |